SELF (NPI# 1861781759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861781759 |
| Entity Type | Organization |
| Organization Name | SELF |
| Other Organization Name | SELF |
| Practice Address |
29 Heberton Rd Rochester NY 14622-2405 |
| Practice Telephone | 5857342650 |
| Mailing Telephone | 5857342650 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | MRS. ANDREANA H BROWN (LPN) |
| Authorized Official Telephone | 5857342650 |
| Authorized Official Credential | L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 27300 | NY | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| self | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508319666 | Self | Community/Behavioral Health | 117 Valley St, Glenwood, IA 51534-1024 | 2016-07-25 |
| 1568814390 | Self | Clinic/Center | 19 Merrick Ave Apt 1, Springfield, MA 01109-4324 | 2016-07-05 |
| 1740655471 | Self | Clinic/Center | 7627 Key West Dr, Parma, OH 44134-6624 | 2015-12-07 |
| 1215333901 | Self | Physical Therapist | 410 Jason Dr, Richmond, KY 40475-2291 | 2014-11-07 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1811334758 | Self | Skilled Nursing Facility | 4 Spruce Rd, Amityville, NY 11701-1019 | 2013-06-02 |
| 1699019786 | Self | Health Maintenance Organization | 10136 Amigo Ave, Northridge, CA 91324-1301 | 2012-11-15 |
| 1649599135 | Self | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1965 Lafayette Ave, Apt. 1g, Bronx, NY 10473-2502 | 2010-05-23 |
| 1912372822 | Self | Community/Behavioral Health | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2015-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELF | 214 Ceret Ct Sw, Vienna, VA 22180-6210 |
| Colorado Business Entities | Self !mprovment, LLC | 3416 White Oak Ln, Highlands Ranch, CO 80129 |
| Virginia Business Entities | SELF & LOVING CONSTRUCTION INC. | 140 Claughton Wright Lane, Lottsburg, Virginia 22511 |
| System for Award Management (SAM) Entities | SELF & SELF GENERAL CONTRACTORS | 494 Grv St N, Dahlonega, GA 30533-0432 |
| System for Award Management (SAM) Entities | SELF --- SUPPORT FOR EARLY LEARNING & FAMILIES | 12214 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684-6019 |
| New York State Corporations | SELF ABLE, INC. | 302 N Fulton Avenue, Lindenhurst, Ny 11757 |
| Washington State Corporations | SELF ACCESS STORAGE, LLC | 102 Myers St, Rainier, WA 98576 |
| Virginia Business Entities | Self Actualization Counseling Services LLC | 1220 Geranium Crescent, Virginia Beach, Virginia 23453 |
| Indiana Business Entities | SELF ADHERING PRODUCTS INC | 457 Circle Freeway Dr, Cincinnati, OH 45246 |
| Washington State Corporations | SELF ADHESIVE RECORDS INC. | 3835 34th Ave W #2 Po Box 99711, Seattle, WA 98199 |
| Street Address |
29 HEBERTON RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14622-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1730461534 | Rolonda Denise Johnson | Licensed Practical Nurse | 2409 Eastridge Rd, Apt162, Rochester, NY 14622 | 2011-09-16 |
| 1831489921 | Stephanie Lynn Cappotelli | Speech-Language Pathologist | 3284 Culver Road, Rochester, NY 14622 | 2011-04-11 |
| 1669609012 | Lavern Lorraine Sleugh-sharpe | Registered Nurse | 43 Rudman Road, Rochester, NY 14622 | 2009-06-12 |
| 1962645432 | Brandi Elizabeth Heberger | Massage Therapist | 1880 E. Ridge Rd., Suite 2, Rochester, NY 14622 | 2009-04-14 |
| 1952547879 | Deborah Lynn Joris | Licensed Practical Nurse | 2131 Titus Avenue, Rochester, NY 14622 | 2008-12-23 |
| 1073771929 | Jeanne A Lill | Pharmacist | 2200 Ridge Rd East, Wegmans Pharmacy, Rochester, NY 14622 | 2008-05-28 |
| 1306058433 | Internal Medicine On East Ridge, LLC | Internal Medicine | 1880 East Ridge Road, Suite 5, Rochester, NY 14622 | 2007-05-03 |
| 1720156987 | Thomas Robert Paonessa | Dentist | 4441 Culver Road, Rochester, NY 14622 | 2006-12-04 |
| Find all providers in zip 14622 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1992305775 | Sharee Walker | Licensed Practical Nurse | 145 Atlantic Ave, Rochester, NY 14607-1205 | 2020-10-29 |
| 1932708401 | Tatyanna Greene | Licensed Practical Nurse | 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 | 2020-10-25 |
| 1750989158 | Toni Foster | Licensed Practical Nurse | 72 Melrose St, Rochester, NY 14619-1802 | 2020-10-16 |
| 1861090474 | Jovon C Johnson | Licensed Practical Nurse | 24 Alfie Dr, Rochester, NY 14623-3602 | 2020-10-15 |
| 1124626031 | Heavenlee Joy Henderson | Licensed Practical Nurse | 61 Farleigh Ave, Rochester, NY 14606-2007 | 2020-10-13 |
| 1245838259 | Sherree Daniella Holloway | Licensed Practical Nurse | 156 Normandy Ave, Rochester, NY 14619-1132 | 2020-10-12 |
| 1912505173 | Robin R Graham | Licensed Practical Nurse | 70 Devon Rd, Rochester, NY 14619-2402 | 2020-10-10 |
| 1568060705 | Jasmine Daja Shannay Vick | Licensed Practical Nurse | 619 Arnett Blvd, Rochester, NY 14619-1308 | 2020-10-10 |
| 1790383925 | Nikki Pickett | Licensed Practical Nurse | 118 Hazelwood Ter, Rochester, NY 14609-5133 | 2020-10-10 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.